IMPORTANT NOTICE REGARDING THE LANDSCAPE ARCHITECTURAL REGISTRATION EXAMINATION ("L.A.R.E.")

Size: px
Start display at page:

Download "IMPORTANT NOTICE REGARDING THE LANDSCAPE ARCHITECTURAL REGISTRATION EXAMINATION ("L.A.R.E.")"

Transcription

1 IMPORTANT NOTICE REGARDING THE LANDSCAPE ARCHITECTURAL REGISTRATION EXAMINATION ("L.A.R.E.") This notice supersedes the information on the application form regarding applying for the Landscape Architectural Registration Examination ("L.A.R.E."). Please be informed that the Council of Landscape Architectural Registration Boards ("CLARB") has instituted a new exam registration process for the computer-based exams. Besides filing an application for exam approval with the Board of Professional Engineers, Architects, Surveyors and Landscape Architects ("Board"), exam candidates will be required to start a CLARB Council Record in order to sit for the exams. Therefore, exam candidates may wish to establish a CLARB Council Record first with documentation of education and experience, then file an application with the Board. In that way, you may request that CLARB transmit the documentation to the Board (for free) so that you do not have to obtain two copies of the documentation required to establish a CLARB Council Record and apply for exam with the Board. For more detailed information, please visit the CLARB's website at

2 REQUIREMENTS FOR LICENSURE - LANDSCAPE ARCHITECT Access this form via website at: REQUIREMENTS PATHWAYS 1. Possess the proper education and/or experience as contained below; and 2. Pass the CLARB exam (L.A.R.E.) or a similar licensing exam or document 15 years of experience in responsible charge; AND 3. Pass the board-produced landscape architectural licensing exam (Hawaii Plant Materials). There are two basic pathways to licensure: 1. If you are already licensed in another state (license is current and valid), you will be seeking licensure via endorsement. 2. If you are NOT licensed in any other state, you will be seeking licensure via exam. On page 1 of the application form, please indicate which pathway (1a, 1b, or 2) for licensure you are taking. MINIMUM EDUCATION & EXPERIENCE The amount of experience required is dependent on the level of education you have and the pathway applicable to you: EDUCATION LEVEL 1. Master's or higher degree in landscape architecture from an approved institution and graduate of a 4-year landscape architectural curriculum from an approved school or college, AND 2. Graduate of a 4-year landscape architectural curriculum from an approved school or college, AND 3. Graduate of a 4-year pre-landscape architectural or arts and science curriculum from an approved school or college, AND LAWFUL EXPERIENCE 2 years 3 years 5 years 4. No Degree 12 years L.A.R.E. exam or 15 years responsible charge L.A.R.E. exam or 15 years responsible charge L.A.R.E. exam or 15 years responsible charge L.A.R.E. exam or 15 years responsible charge On page 1 of the application form, please indicate which level of education (1 to 4) you have. * Option of 15 years of experience in Responsible Charge is only applicable to Licensure via Endorsement. FOREIGN EDUCATION EXAMINATIONS BOARD EXAM BOARD EXAM BOARD EXAM BOARD EXAM In addition to the foregoing, graduates of foreign colleges must have their foreign education evaluated if they wish to have their college degree(s) considered. In order to do this, contact the Licensing Branch at (808) and request an "Application for Evaluation of Foreign Educational Credentials". Complete the form and submit it with the required documents and fee to Educational Credential Evaluators, Inc. (ECE). Request a general report. Applications are also available on the internet at Reports are prepared by ECE and a copy is usually sent to us within 4-6 weeks following receipt of all required documents. VERIFICATION OF EDUCATION AND EXPERIENCE Applicants are required to document his/her education and experience. However, your level of education and pathway for licensure will dictate the type of verification you will need to submit. Refer to the listing below for ways to provide evidence of your experience. (Note: If you need to sit for an exam, all experience must be completed by the filing deadline of the examination date you are requesting.): 1. CLARB Council Records. 2. Supervised experience: You must have the enclosed form EAS-16, "Verification of Supervision" completed by your supervisor(s). If your supervisor is no longer available, contact your original state of licensure and have them submit copies of documentation on your experience directly to the Board. 3. Experience in responsible charge (for licensure via endorsement): You must have the enclosed form EAS-11 completed. Please note that experience in responsible charge will be credited in the ratio of 2:1 of the required lawful experience. 4. Combination of #2 and #3 above. EAS R (CONTINUED ON BACK)

3 EXAMINATION SUBMITTALS Applicants for licensure via endorsement: Verification of your examination and exam scores must be accomplished. Send the "Verification of Exam/License" form S-1 to the state in which you were ORIGINALLY LICENSED BY EXAMINATION with the appropriate service fee, if any. Contact your state licensing agency for any charge. If more than one form is needed, in cases where the exams were taken in more than one state, please duplicate. Completion of this form will also serve to verify your out-of-state license. If you wish to have the CLARB exam waived, you will need to have a licensed landscape architect complete the "Verification of Experience in Responsible Charge" form documenting 15 years of experience in responsible charge. Applicants for licensure via the CLARB exam: In Hawaii, the CLARB exam (L.A.R.E.) is administered only on Oahu. All candidates must submit a completed state application form to the Board and receive board approval in order to sit for any section(s) of the examination including the Hawaii State Exam. L.A.R.E. A, B, & D only For Sections A, B, and/or D: Upon approval of your application you will be mailed an "Approval Notice". Candidates are then to register directly with CLARB using their online registration system. A registration fee will be charged for each test administration. However, this fee will be waived for applicants holding a current CLARB council record. For exam fees, administration fees, registration fees and various deadlines (eg. Registration, postpone, cancellation, etc.), please see or call (571) IMPORTANT Results for sections A, B and D are not automatically sent to the Board, therefore, YOU must authorize the release of these scores and instruct CLARB to have them sent DIRECTLY to the Hawaii Board. L.A.R.E. C & E only For Sections C and E: Upon approval of your application you will be mailed an "Approval Notice" with information on exam fees and deadline to submit the fees. Upon receipt of your fees, you will be scheduled to sit for Section C and/or E. In Hawaii, Sections C and E are administered twice a year in June and December and only on Oahu. The filing deadline is March 10 th and September 10 th (C & E only). Information regarding the examination is available from the Council of Landscape Architectural Registration Boards at Note: Payments for Section C and/or E must be by money order or cashier's check. In order to receive any refund, written notice to postpone or withdraw from taking the exam must reach the Board's office at least 9 weeks prior to the first day of the examination. Timely requests for postponements shall result in the application of your examination and administration fees to the next scheduled examination. Requests for withdrawal shall result in a refund of your examination and administration fees. Failure to provide written notice to postpone or withdraw from the examination within the period stated above shall result in the forfeiture of your examination fee and administration fees. The Board-produced landscape architectural licensing exam (Hawaii Plant Materials): The board-produced exam is given with the CLARB exam. Filing deadline: March 10 th and September 10 th. The board-produced exam is also offered monthly following the Miscellaneous exam schedule. After the Board has approved your application, you may elect to sit for the Board-produced exam by notifying our office by the 25 th day of the month prior to the requested exam date. If you require special accommodations to sit for the licensure examination, please contact the Exam Branch immediately, but no later than the exam filing deadline, at (808) to obtain a Disability Certification Form that will need to be completed and returned to our office. No action will be taken to provide special testing accommodations until your exam application is complete and approved. 1. Complete the entire application; provide details of your experience in the "Experience Record" portion (keep in mind that "supervisor" refers to a licensed landscape architect other than yourself); 2. Provide a copy of all pertinent diplomas or official transcript(s) from an approved school or college or ECE report (if you are a graduate of a foreign college); 3. A Non-refundable application fee of $75 made payable to Commerce & Consumer Affairs; 4. $30 examination fee for the Board-produced examination; AND 5. "Verification(s) of Supervision" form completed by your supervisor(s), who is a licensed landscape architect and/or "Experience in Responsible Charge" form from a licensed landscape architect. 6. "Verification of Exam/License" form from another state board. or 7. CLARB Council record. This material can be made available for individuals with special needs. Please call the Licensing Branch Manager at (808) , to submit your request. -2-

4 INFORMATION & INSTRUCTIONS LANDSCAPE ARCHITECT Complete the attached form using a typewriter or print in black ink. Answer all questions and sign and date the application form. Applications that lack supporting documents required for exam or licensure will not be considered. It is the applicant's responsibility to ensure that all documents are received timely. REQUIREMENTS Please read the requirements section carefully. Should you have a question or concern regarding the requirements, contact the Licensing Branch at (808) Individuals from the neighbor islands can call the toll free access numbers: Kauai: ext Maui: ext Hawaii: ext Molokai: ext Lanai: ext Information can also be obtained from the Professional & Vocational Licensing Division web site: ww.hawaii.gov/dcca/areas/pvl. SOCIAL SECURITY NUMBER FEES Your social security number is used to verify your identity for licensing purposes and for compliance with the below laws. For a license to be issued you must provide your social security number or your application will be deemed deficient and will not be processed further. The following laws require that you furnish your social security number to our agency: FEDERAL LAWS: 42 U.S.C.A. 666(a)(13) requires the social security number of any applicant for a professional license or occupational license be recorded on the application for license; and If you are a licensed health care practitioner, 45 C.F.R., Part 61, Subpart B, 61.7 requires the social security number as part of the mandatory reporting we must do to the Healthcare Integrity and Protection Data Bank (HIPDB), of any final adverse licensing action against a licensed health care practitioner. HAWAII REVISED STATUTES ("HRS"): 576D-13(j), HRS requires the social security number of any applicant for a professional license or occupational license be recorded on the application for license; and 436B-10(4) HRS which states that an applicant for license shall provide the applicant's social security number if the licensing authority is authorized by federal law to require the disclosure (and by the federal cites shown above, we are authorized to require the social security number). Make checks payable to: COMMERCE & CONSUMER AFFAIRS (unless otherwise noted). Note: One of the numerous legal requirements that you must meet in order for your new license to be issued is the payment of fees as set forth in this application. You may be sent a license certificate before the payment you sent us for your required fees is honored by your bank. If your payment is dishonored, you will have failed to pay the required licensing fee and your license will not be valid, and you may not do business under that license. Also, a $25.00 service charge shall be assessed for payments that are dishonored for any reason. RETURN OF REQUIRED ITEMS Mailing Address: Board of EASLA DCCA, PVL Licensing Branch P.O. Box 3469 Honolulu, HI Office location: 335 Merchant St., Rm. 301 Honolulu, HI

5 RESPONSE You will receive a deficiency notice or an approval notice upon receipt of all required documents and review of your application. If for any reason you are denied the registration or license you are applying for, you may be entitled to a hearing as provided by the Hawaii Administrative Rules, Title 16, Chapter 201, and/or Chapter 91, Hawaii Revised Statutes. Your written request for a hearing should be directed to the agency that issues your registration or license and must be received within 60 days of the date that your application for registration or license has been denied. RELEASE OF INFORMATION If an agency or individual is assisting you with the licensure process, we will not be able to release any information to them unless you provide us with authorization. If you wish to do so, please complete the portion on Release of Information to Third Party, sign and date it. ABANDONMENT Pursuant to HRS 436B-9 your application shall be considered abandoned and shall be destroyed if you fail to provide evidence of continued efforts to complete the licensing process for two consecutive years. The failure to provide evidence of continued efforts includes but is not limited to: (1) failure to submit any required information and documents requested by the licensing authority within two consecutive years from the last date the documents and information were requested, or (2) failure to complete any additional requirements for licensure that remain after approval of your application, such as attempting to complete an exam requirement, within two consecutive years from the date your application was approved, or (3) failure to provide the licensing authority with any written communication during two consecutive years indicating that you are attempting to complete the licensing process. If an application is deemed abandoned the applicant shall be required to reapply for licensure and comply with the licensing requirements in effect at the time of the reapplication. LAWS & RULES PUBLICATIONS You must certify to reading, understanding, and agreeing to comply with the Hawaii Revised Statutes and Hawaii Administrative Rules governing this license area. The laws and rules are available free of charge from our website at: Look under "Engineer, Architect, Surveyor and Landscape Architect". For Landscape Architects, you should be familiar with Chapter 464, (HRS), Chapter 115, (HAR), and Chapter 436B, the Professional and Vocational Licensing Act. LICENSURE & RENEWAL After all requirements are fulfilled, license fees will be due. Notification of amounts will be sent to you at the appropriate time. For Landscape Architects, all licenses (regardless of issuance date) will expire on April 30 of each EVEN-NUMBERED year and are subject to renewal by the license expiration date. Renewals received after the license expiration date are subject to late renewal fees and may be restored up to 2 years. After 2 years, a new application for licensure is required. CHANGE OF ADDRESS Whenever you have a change of address, please report it to the department in writing so that your records can be updated. This material can be made available for individuals with special needs. Please call the Licensing Branch Manager at (808) , to submit your request. -4-

6 APPLICATION FOR LICENSURE LANDSCAPE ARCHITECT Approved: CLARB STATE State of Hawaii Board of Engineers, Architects, Land Surveyors & Landscape Architects Place a checkmark next to your pathway to licensure and circle your education level. #1 via Endorsement Licensed in License No. (State) Education Level: Years of Experience: a. with CLARB exam Passed CLARB exam in b. without CLARB exam (State) #2 via CLARB exams. Education Level: Years of Experience: on () FOR BOARD USE ONLY Passed: CLARB License No. LA STATE Licensed: CLARB Certificate holder? YES NO CLARB requested: Legal Name (First, Middle) (LAST) Residence Address (Include Apt. No., City, State & Zip Code) Employer's Name. Address & Phone No. Mailing Address (ONLY if different from above) Indicate exam date applying for: CLARB: June December (C & E Only) Hawaii Plant Materials: Month Social Security Number Phone No. (days) Other Names used: Circle answers and provide detailed explanation and supporting documents if applicable. (1) Are you at least 18 years of age?... YES NO (2) Are you a U.S. citizen, a U.S. national, or an alien authorized to work in the United States?... YES NO (3) Have you ever applied for or been licensed as a Landscape Architect in Hawaii?... YES NO If "YES" indicate the MONTH and YEAR: or License Number: (4) Has any license ever been suspended, revoked or otherwise subject to disciplinary action?... YES NO (5) Are there any disciplinary actions pending against you?... YES NO (6) In the past 20 years have you been convicted of a crime in which the conviction has not been annulled or expunged?... YES NO EXPLAIN "YES" RESPONSES, PROVIDING DATES, PLACES, AND TYPE OF CONVICTION OR DISCIPLINARY ACTION ON A SEPARATE SHEET AND SUBMIT PERTINENT DOCUMENTATION FROM THE COURTS OR LICENSING AUTHORITY. EDUCATION Indicate if School of L. Arch. with university & clarify Degree, as "B in L. Arch." Name & Location of School College/University Other College/University s (Mo/Yr) From To Graduated Degree Received Major (CONTINUED ON BACK) App $75 Reg $60 Exam Admin $10 X CRF $42/$86 1/2 Renewal $49 Service Charge... BCF... $25 EAS R

7 EXPERIENCE RECORD. (You may attach additional sheets provided that the information is in this format) ENGAGEMENT NUMBER FROM DATES (mo/yr) TIME (yrs & mos) TO TOTAL TIME TITLE OF POSITION, NAME OF EMPLOYER & CHARACTER OF EACH EMPLOYMENT. Designate each employment or change in position by a separate letter and a ruled line extending across page. Include magnitude & complexity of work on which engaged, your duties & degree of responsibility. Have in mind that the Examining Committee is more interested in your specific duties rather than the number of persons employed or over-all cost of projects. YOUR SUPERVISOR NAME & ADDRESS LICENSED LANDSCAPE ARCHITECT? SUMMARY (By Applicant) TOTAL EXPERIENCE SUMMARY (By Board) AFFIDAVIT OF APPLICANT: I certify that the statements, answers and representations made in this application and documents attached are true and correct. I understand that any misrepresentation is grounds for refusal or subsequent revocation of my registration and is a misdemeanor (Section , Section 436B-19, and Section , Hawaii Revised Statutes). I further certify that I have read, understand and agree to comply with the provisions of Hawaii Revised Statutes, Chapter 464 and Hawaii Administrative Rules, Chapter 115. Signature of Applicant Release of Information to Third Party: To assist me in the licensing process, I authorize the Board and staff to release any and all information regarding my application (including but not limited to, application status) to: Print Name of Individual who is assisting you: Signature of Applicant This material can be made available for individuals with special needs. Please call the Licensing Branch Manager at (808) , to submit your request. -2-

8 VERIFICATION OF SUPERVISION - LANDSCAPE ARCHITECTS Access this form via website at: The applicant named below has applied for licensure by examination or endorsement with the Board of Professional Engineers, Architects, Surveyors and Landscape Architects. The Board rules require that an applicant for licensure must have worked for a specified number of years under the supervision of licensed landscape architect(s). To verify this period of supervision, this form shall be completed by the applicant's supervisor and mailed to: Board of Professional Engineers, Architects, Surveyors and Landscape Architects, P.O. Box 3469, Honolulu, Hawaii Name of Applicant: Name of Supervisor: Name of Employer: Address of Supervisor: 1. The applicant worked under my supervision from to. Total Yrs Mos. 2. During the time indicated above, I was licensed as a Landscape Architect: Certificate No. of Licensure State 3. What was the scope of your supervision? 4. Please describe specific assignments given to applicant on projects while under your supervision: 5. Other comments regarding the applicant: I hereby certify that the statements and answers contained in this verification regarding the person named as applicant are true and correct to the best of my knowledge; and the statements given regarding myself are true and correct. Signature of Supervisor EAS R

9 VERIFICATION OF EXPERIENCE IN RESPONSIBLE CHARGE LANDSCAPE ARCHITECT State of Hawaii, Board of Engineers, Architects, Surveyors & Landscape Architects. Access this form via website at: The applicant named below has applied for licensure by endorsement with the Board of Professional Engineers, Architects, Surveyors and Landscape Architects. The Board rules allow an applicant to qualify for licensure on the basis of experience in responsible charge. To verify this period of experience, this form shall be completed by a licensed landscape architect and mailed to: Board of Professional Engineers, Architects, Surveyors and Landscape Architects, P.O. Box 3469, Honolulu, Hawaii NAME OF APPLICANT: NAME OF LICENSED LANDSCAPE ARCHITECT VERIFIER: FROM TO DESCRIPTION OF LANDSCAPE ARCHITECTURAL WORK I hereby certify that I have knowledge of the applicant's landscape architectural experience as stated above in which the applicant was in responsible charge of the landscape architecture work. Signature of Licensed Landscape Architect Verifier State of License No. Licensure: Address Phone EAS R

10 VERIFICATION OF EXAM/LICENSE - ENGINEERS, ARCHITECTS, LAND SURVEYORS, AND State of Hawaii LANDSCAPE ARCHITECTS Access this form via website at: APPLICANT: Complete top of this page and forward to ORIGINAL state of license. Name (First, Middle) (LAST) Other Names used: Board of EASLA A P P L I C A N T Address (Include apt. no., city, state and zip code) License No. Issued I hereby authorize the licensing agency in the State of Commerce and Consumer Affairs, State of Hawaii, the information below. Social Security No. Phone No. Circle type of License Held: PE ARCH LAND ARCH LAND SURVEYOR to furnish to the Department of SIGN HERE: PART II - FOR STATE BOARD ONLY TO COMPLETE The above-named person is applying for license in the State of Hawaii. Please complete all information below, affix your board seal and mail directly to: BOARD OF EASLA DCCA, PVL LICENSING BRANCH P.O. BOX 3469 HONOLULU, HI Certificate Number Issued Valid Until Applied PROFESSIONAL ENGINEER ENGINEER IN TRAINING ARCHITECT LANDSCAPE ARCHITECT LAND SURVEYOR CURRENT & GOOD STANDING [ ] License is in good standing. [ ] If any pending action or past sanctions, please explain on reverse side. EIT accepted from (name of states): Indicate DISCIPLINE OF ENGINEERING examined in (Use "NA" if not applicable): Examination Subjects No. of Hours Grade Obtained Passing Grade Required Month & Year Passed Uniform NCEES, NCARB or CLARB exam? BY: TITLE: DATE: BOARD SEAL (if none, please state none) S R

REQUIREMENTS FOR LICENSURE - SURVEYOR Access this form via website at: www.hawaii.gov/dcca/areas/pvl

REQUIREMENTS FOR LICENSURE - SURVEYOR Access this form via website at: www.hawaii.gov/dcca/areas/pvl REQUIREMENTS FOR LICENSURE - SURVEYOR Access this form via website at: www.hawaii.gov/dcca/areas/pvl REQUIREMENTS 1. Possess the proper education and/or experience as contained below; AND 2. Pass the NCEES,

More information

HAWAII REGISTERED AND PRACTICAL NURSE EXAM APPLICANTS APPLYING FOR LICENSURE IN THE STATE OF HAWAII

HAWAII REGISTERED AND PRACTICAL NURSE EXAM APPLICANTS APPLYING FOR LICENSURE IN THE STATE OF HAWAII HAWAII REGISTERED AND PRACTICAL NURSE EXAM APPLICANTS APPLYING FOR LICENSURE IN THE STATE OF HAWAII Access this form via website at: www.hawaii.gov/dcca/areas/pvl Follow These Instructions On April 1994,

More information

Complete both sides of the attached application form. Applicants are subject to requirements in effect at time of filing.

Complete both sides of the attached application form. Applicants are subject to requirements in effect at time of filing. REQUIREMENTS & INSTRUCTIONS FOR FILING - NURSING HOME ADMINISTRATOR Access this fm via website at: www.hawaii.gov/dcca/areas/pvl (Read thoughly) Any individual who is charged with the general administration

More information

5. These are the minimum hours of apprenticeship training required for the following license categories:

5. These are the minimum hours of apprenticeship training required for the following license categories: INFORMATION & INSTRUCTIONS BARBER OR BEAUTY APPRENTICE (RETAIN FOR FUTURE REFERENCE) Access this form via our website at: www.hawaii.gov/dcca/areas/pvl This apprentice application is to be used for either

More information

REQUIREMENTS & INSTRUCTIONS - MARRIAGE AND FAMILY THERAPIST LICENSE APPLICATION Access this form via www.hawaii.gov/dcca/pvl

REQUIREMENTS & INSTRUCTIONS - MARRIAGE AND FAMILY THERAPIST LICENSE APPLICATION Access this form via www.hawaii.gov/dcca/pvl REQUIREMENTS & INSTRUCTIONS - MARRIAGE AND FAMILY THERAPIST LICENSE APPLICATION Access this form via www.hawaii.gov/dcca/pvl APPLICATION FORM DEADLINE EDUCATION Complete and sign the attached application

More information

REQUIREMENTS FOR LICENSURE --- VETERINARIAN Access this form via w ebsite at: www.hawaii.gov/dcca/areas/pvl

REQUIREMENTS FOR LICENSURE --- VETERINARIAN Access this form via w ebsite at: www.hawaii.gov/dcca/areas/pvl REQUIREMENTS FOR LICENSURE --- VETERINARIAN Access this form via w ebsite at: www.hawaii.gov/dcca/areas/pvl REQUIREMENTS 1. Fulfill the education requirements as described below ; AND 2. Pass the National

More information

REQUIREMENTS & INSTRUCTIONS - BEAUTY OPERATOR Access this form via website at: www.hawaii.gov/dcca/areas/pvl

REQUIREMENTS & INSTRUCTIONS - BEAUTY OPERATOR Access this form via website at: www.hawaii.gov/dcca/areas/pvl REQUIREMENTS & INSTRUCTIONS - BEAUTY OPERATOR Access this form via website at: www.hawaii.gov/dcca/areas/pvl APPLICANTS ARE SUBJECT TO REQUIREMENTS IN EFFECT AT TIME OF FILING. ALL APPLICANTS upon filing

More information

REQUIREMENTS - PHARMACIST EXAM & LICENSE Access this form via website at: www.hawaii.gov/dcca/areas/pvl

REQUIREMENTS - PHARMACIST EXAM & LICENSE Access this form via website at: www.hawaii.gov/dcca/areas/pvl REQUIREMENTS - PHARMACIST EXAM & LICENSE Access this form via website at: www.hawaii.gov/dcca/areas/pvl LICENSE GENERAL 1. Citizenship and Age Requirement - Is at least 18 years of age and is a United

More information

Session Laws of Hawaii 2009, Act 169 amended Chapter 457, Hawaii Revised Statutes, the practice of nursing as follows:

Session Laws of Hawaii 2009, Act 169 amended Chapter 457, Hawaii Revised Statutes, the practice of nursing as follows: Session Laws of Hawaii 2009, Act 169 amended Chapter 457, Hawaii Revised Statutes, the practice of nursing as follows: Global signature authority is authorized, effective immediately for recognized advanced

More information

REQUIREMENTS & INSTRUCTIONS - PSYCHOLOGIST LICENSE Visit our website at: www.hawaii.gov/dcca/areas/pvl

REQUIREMENTS & INSTRUCTIONS - PSYCHOLOGIST LICENSE Visit our website at: www.hawaii.gov/dcca/areas/pvl REQUIREMETS & ISTRUCTIOS - PSYCHOLOGIST LICESE Visit our website at: www.hawaii.gov/dcca/areas/pvl APPLICATIO Complete and sign the attached application form. Type or print legibly in black ink. Failure

More information

STATE OF NEW HAMPSHIRE APPLICATION FOR LICENSURE AS A LANDSCAPE ARCHITECT

STATE OF NEW HAMPSHIRE APPLICATION FOR LICENSURE AS A LANDSCAPE ARCHITECT STATE OF NEW HAMPSHIRE APPL# For Office Use Only APPLICATION FOR LICENSURE AS A LANDSCAPE ARCHITECT $150.00 - Landscape Architect Registration Exam $275.00 - CLARB Certification $325.00 - Direct to State

More information

COMMUNITY ASSOCIATION MANAGER APPLICATION FOR LICENSURE

COMMUNITY ASSOCIATION MANAGER APPLICATION FOR LICENSURE COMMUNITY ASSOCIATION MANAGER APPLICATION FOR LICENSURE ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION Division of Professional Regulation 320 West Washington Street, 3 rd Floor Springfield,

More information

Athletic Trainer License Application Methods

Athletic Trainer License Application Methods Athletic Trainer License Application Methods Please read carefully to determine the application method for which you are qualified Indicate the appropriate method on the application and submit the required

More information

M E M O R A N D U M. TO: ALL Interior Designer applicants FROM: JEAN WILLIAMS, EXECUTIVE DIRECTOR

M E M O R A N D U M. TO: ALL Interior Designer applicants FROM: JEAN WILLIAMS, EXECUTIVE DIRECTOR M E M O R A N D U M The Board of Governors of the Licensed Architects Landscape Architects and Registered Interior Designers of Oklahoma P. O. Box 53430 Oklahoma City, OK 73152 (405) 949-2383 TO: ALL Interior

More information

Application Instructions for: MASSAGE THERAPIST LICENSURE BY EXAMINATION

Application Instructions for: MASSAGE THERAPIST LICENSURE BY EXAMINATION Regular Mailing Address Courier Delivery Address email: RA-massagetherapy@state.pa.us Application Instructions for: MASSAGE THERAPIST LICENSURE BY EXAMINATION All licenses expire on January 31, of odd-numbered

More information

30 Day Limited Permits for Professional Engineers and Land Surveyors

30 Day Limited Permits for Professional Engineers and Land Surveyors THE STATE EDUCATION DEPARTMENT / THE UNIVERSITY OF THE STATE OF NEW YORK / ALBANY, NY 12234 Office of the Professions, State Board for Engineering and Land Surveying PHONE: 518-474-3817 ext. 140 FAX: 518-473-6282

More information

APPLICATION DEADLINES SUBMISSION OF AN APPLICATION DOES NOT GUARANTEE APPROVAL TO SIT FOR ANY EXAMINATION

APPLICATION DEADLINES SUBMISSION OF AN APPLICATION DOES NOT GUARANTEE APPROVAL TO SIT FOR ANY EXAMINATION FUNDAMENTALS OF GEOLOGY EXAMINATION APPLICATION Courier Address: 2601 North Third St. Harrisburg, PA 17110 Mailing Address: P.O. Box 2649 Harrisburg, PA 17105 STATE REGISTRATION BOARD FOR PROFESSIONAL

More information

PLEASE READ BEFORE COMPLETING APPLICATION

PLEASE READ BEFORE COMPLETING APPLICATION PLEASE READ BEFORE COMPLETING APPLICATION Information for Licensure: SOCIAL WORKER (LSW) Each item on the enclosed application must be completed. Allow 30 days for processing of the application. Failure

More information

APPLICATION FOR NATIONAL EXAMINATION IN MARITAL & FAMILY THERAPY

APPLICATION FOR NATIONAL EXAMINATION IN MARITAL & FAMILY THERAPY Minnesota Board of Marriage and Family Therapy 2829 University Avenue SE, Suite 400 Minneapolis, MN 55414-3222 Telephone: (612) 617-2220 Fax: (612) 617-2221 Email: mft.board@state.mn.us Website: www.bmft.state.mn.us

More information

Application Instructions for:

Application Instructions for: Regular Mailing Address Courier Delivery Address P.O. Box 2649 2601 North Third Street Phone: 717-783-7155 email:ra-massagetherapy@state.pa.us Application Instructions for: MASSAGE THERAPIST TEMPORARY

More information

PRIVATE INVESTIGATOR APPLICANT INSTRUCTIONS

PRIVATE INVESTIGATOR APPLICANT INSTRUCTIONS COMMONWEALTH OF KENTUCKY KENTUCKY BOARD OF LICENSURE FOR PRIVATE INVESTIGATORS PO BOX 1360 FRANKFORT KY 40602-1360 (502) 564-3296, ext. 223 (502) 564-4818 FAX PRIVATE INVESTIGATOR APPLICANT INSTRUCTIONS

More information

APPLICATION CHECKLIST IMPORTANT Submit all items on the checklist below with your application to ensure faster processing.

APPLICATION CHECKLIST IMPORTANT Submit all items on the checklist below with your application to ensure faster processing. 1 of 8 State of Florida Department of Business and Professional Regulation Board of Cosmetology Application for Initial License by Exam Based on Current Licensure in Another State or Country Form # DBPR

More information

STATE OF NEW HAMPSHIRE APPLICATION FOR LICENSURE AS A LAND SURVEYOR. $120.00 Application Fee. 1. General lnformation

STATE OF NEW HAMPSHIRE APPLICATION FOR LICENSURE AS A LAND SURVEYOR. $120.00 Application Fee. 1. General lnformation STATE OF NEW HAMPSHIRE APPL# For Office Use Only APPLICATION FOR LICENSURE AS A LAND SURVEYOR $120.00 Application Fee The application must be filled out completely and typewritten Check Payable to Treasurer,

More information

TEXAS DEPARTMENT OF STATE HEALTH SERVICES RESPIRATORY CARE PRACTITIONERS CERTIFICATION PROGRAM (512) 834-6632 APPLICATION INFORMATION

TEXAS DEPARTMENT OF STATE HEALTH SERVICES RESPIRATORY CARE PRACTITIONERS CERTIFICATION PROGRAM (512) 834-6632 APPLICATION INFORMATION TEXAS DEPARTMENT OF STATE HEALTH SERVICES RESPIRATORY CARE PRACTITIONERS CERTIFICATION PROGRAM (512) 834-6632 APPLICATION INFORMATION An incomplete application will not be processed until all required

More information

APPLICATION FOR A YACHT AND SHIP EMPLOYING BROKER, BROKER OR SALESPERSON'S LICENSE

APPLICATION FOR A YACHT AND SHIP EMPLOYING BROKER, BROKER OR SALESPERSON'S LICENSE APPLICATION FOR A YACHT AND SHIP EMPLOYING BROKER, BROKER OR SALESPERSON'S LICENSE Attached please find the application for a yacht and ship employing broker, broker or salesperson's license. Once received,

More information

CHAPTER II. To regulate the qualifications of:

CHAPTER II. To regulate the qualifications of: CHAPTER II LICENSURE REQUIREMENTS FOR REGISTERED PROFESSIONAL NURSES and LICENSED PRACTICAL NURSES and CERTIFICATION REQUIREMENTS FOR NURSING ASSISTANTS/NURSE AIDES Section 1. Statement of Purpose. These

More information

Home Inspector License Application

Home Inspector License Application New York State DEPARTMENT OF STATE Division of Licensing Services P.O. Box 22001 Customer Service: (518) 474-4429 Albany, NY 12201-2001 www.dos.ny.gov Home Inspector License Application Read the instructions

More information

MONTANA BOARD OF PUBLIC ACCOUNTANTS

MONTANA BOARD OF PUBLIC ACCOUNTANTS MONTANA BOARD OF PUBLIC ACCOUNTANTS 301 South Park 4 th Floor PO Box 200513 Helena Mt 59620 0513 Phone: 406 841 2203 E mail: dlibsdpac@mt.gov Website: www.publicaccountant.mt.gov APPLICATION FOR ORIGINAL

More information

INFORMATION & INSTRUCTIONS FOR CPA CERTIFICATION BY RECIPROCITY

INFORMATION & INSTRUCTIONS FOR CPA CERTIFICATION BY RECIPROCITY INFORMATION & INSTRUCTIONS FOR CPA CERTIFICATION BY RECIPROCITY Reciprocity is the application for certification based on information provided to the Nevada board that you have met Nevada s requirements

More information

Massachusetts Board of Registration in Pharmacy. Pharmacy Technician Registration Application

Massachusetts Board of Registration in Pharmacy. Pharmacy Technician Registration Application The Massachusetts Board of (Board) has contracted with Professional Credential Services (PCS) to process registration applications from pharmacy technicians. Applicants must submit all information directly

More information

MAINE BOARD OF PHARMACY

MAINE BOARD OF PHARMACY MAINE BOARD OF PHARMACY Pharmacist by Examination/Score Transfer Do not return the following informational pages with your application; it is for your information only Department of Professional and Financial

More information

PLEASE ALLOW AT LEAST 60 DAYS FOR PROCESSING INSTRUCTIONS FOR APPLICANTS WHO HOLD NCCPA CERTIFICATION

PLEASE ALLOW AT LEAST 60 DAYS FOR PROCESSING INSTRUCTIONS FOR APPLICANTS WHO HOLD NCCPA CERTIFICATION Regular Mailing Address P.O. BOX 2649 HARRISBURG, PA 17105-2649 Email: st-medicine@pa.gov Courier Delivery Address 2601 NORTH THIRD STREET HARRISBURG, PA 17110 717-783-1400/717-787-2381 APPLICATION FOR

More information

passed the NCIDQ examination. Comity Applicants (for those who have been licensed in another state, jurisdiction or territory of the United States)

passed the NCIDQ examination. Comity Applicants (for those who have been licensed in another state, jurisdiction or territory of the United States) Commonwealth of Virginia Department of Professional and Occupational Regulation 9960 Mayland Drive, Suite 400 Richmond, VA 23233 (804) 367-8506 www.dpor.virginia.gov BOARD FOR ARCHITECTS, PROFESSIONAL

More information

The University of the State of New York. THE STATE EDUCATION DEPARTMENT Office of the Professions

The University of the State of New York. THE STATE EDUCATION DEPARTMENT Office of the Professions The University of the State of New York Certified Public Accountant THE STATE EDUCATION DEPARTMENT Office of the Professions Form 1 Division of Professional Licensing Services www.op.nysed.gov Application

More information

REVISED 07-15 STATE BOARD OF SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS AND PROFESSIONAL COUNSELORS P.O. BOX 2649 HARRISBURG, PA 17105-2649

REVISED 07-15 STATE BOARD OF SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS AND PROFESSIONAL COUNSELORS P.O. BOX 2649 HARRISBURG, PA 17105-2649 STATE BOARD OF SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS AND PROFESSIONAL COUNSELORS P.O. BOX 2649 HARRISBURG, PA 17105-2649 Email st-socialwork@pa.gov www.dos.pa.gov/social APPLICATION FOR A LICENSE

More information

Professional Land Surveyor Application

Professional Land Surveyor Application Attach a clear, full-face passportstyle photograph (2 x 2 ) of your head and shoulders, taken within the past six months. A photo is required with each application. Do not use a paper clip to attach the

More information

VETERINARY MEDICINE LICENSE APPLICATION INSTRUCTIONS AND INFORMATION

VETERINARY MEDICINE LICENSE APPLICATION INSTRUCTIONS AND INFORMATION The Commonwealth of Massachusetts Division of Professional Licensure Board of Registration of Veterinary Medicine 1000 Washington Street, Suite 710 Boston, MA 02118-6100 Phone: (617) 727-3080 VETERINARY

More information

GEORGIA BOARD OF PHARMACY A Division of the Georgia Department of Community Health 2 Peachtree Street, N.W. 6 th Floor Atlanta, Georgia 30303

GEORGIA BOARD OF PHARMACY A Division of the Georgia Department of Community Health 2 Peachtree Street, N.W. 6 th Floor Atlanta, Georgia 30303 GEORGIA BOARD OF PHARMACY A Division of the Georgia Department of Community Health 2 Peachtree Street, N.W. 6 th Floor Atlanta, Georgia 30303 PHARMACIST APPLICANT INFORMATION SHEET Examination dates are

More information

Memphis Police Department Police Officer Application Packet

Memphis Police Department Police Officer Application Packet Memphis Police Department Police Officer Application Packet MINIMUM REQUIREMENTS 54 Semester Hours at an Accredited College or University or Two years of continuous Military Service with an honorable discharge

More information

Applicants will be notified within 15 working days of receipt of a completed application as to the status of the application.

Applicants will be notified within 15 working days of receipt of a completed application as to the status of the application. 2/09, 03/11, 11/11, 01/13, 01/15 Page 1 of 10 MONTANA BOARD OF RADIOLOGIC TECHLOGISTS 301 SOUTH PARK, 4TH FLOOR PO BOX 200513 HELENA, MONTANA 59620-0513 (406) 841-2202 FAX: (406) 841-2305 email: dlibsdrts@mt.gov

More information

APPLICATION FOR LICENSURE INFORMATION SHEET / CHECKLIST (Check as Received) (Form KBLTCA-1)

APPLICATION FOR LICENSURE INFORMATION SHEET / CHECKLIST (Check as Received) (Form KBLTCA-1) KENTUCKY BOARD OF LICENSURE FOR LONG-TERM CARE ADMINISTRATORS P.O. Box 1360, Frankfort, Kentucky 40602 ~ 911 Leawood Drive, Frankfort, Kentucky 40601 (502)564-3296 Extension 226~ http://ltca.ky.gov TEMPORARY

More information

Professional License Renewal Options

Professional License Renewal Options Professional License Renewal Options FM 3a Teacher Licensure & Accreditation KSDE Landon State Office Building 900 SW Jackson Street, Suite 106 Topeka, KS 66612-1212 Phone: 785-296-2288 www.ksde.org A

More information

Application Letter of Instruction

Application Letter of Instruction STATE OF NEVADA BOARD OF OCCUPATIONAL THERAPY P.O. BOX 34779 Reno, Nevada 89533-4779 (775) 746-4101 / Fax: (775) 746-4105 / Toll Free: (800) 431-2659 Email: board@nvot.org / Website: www.nvot.org TYPES

More information

DEPARTMENT OF COMMERCE DIVISION OF FINANCIAL INSTITUTIONS

DEPARTMENT OF COMMERCE DIVISION OF FINANCIAL INSTITUTIONS STATE OF MINNESOTA DEPARTMENT OF COMMERCE DIVISION OF FINANCIAL INSTITUTIONS RE: CONSUMER SMALL LOAN LENDER ACT Application may be made on the attached forms for a Consumer Small Loan Lending license pursuant

More information

STATE OF FLORIDA BOARD OF MASSAGE THERAPY APPLICATION FOR COLON HYDROTHERAPY UPGRADE TO MASSAGE THERAPIST LICENSE WITH INSTRUCTIONS

STATE OF FLORIDA BOARD OF MASSAGE THERAPY APPLICATION FOR COLON HYDROTHERAPY UPGRADE TO MASSAGE THERAPIST LICENSE WITH INSTRUCTIONS STATE OF FLORIDA BOARD OF MASSAGE THERAPY APPLICATION FOR COLON HYDROTHERAPY UPGRADE TO MASSAGE THERAPIST LICENSE WITH INSTRUCTIONS Board of Massage Therapy 4052 Bald Cypress Way, Bin # C-06 Tallahassee,

More information

PENNSYLVANIA STATE BOARD OF NURSING PHONE (717) 783-7142 P.O. BOX 2649 FAX (717) 783-0822

PENNSYLVANIA STATE BOARD OF NURSING PHONE (717) 783-7142 P.O. BOX 2649 FAX (717) 783-0822 PENNSYLVANIA STATE BOARD OF NURSING PHONE (717) 783-7142 P.O. BOX 2649 FAX (717) 783-0822 HARRISBURG, PA 17105-2649 www.dos.state.pa.us/nurse Email: st-nurse@state.pa.us RETAIN FOR REFERENCE General Instructions

More information

INSTRUCTIONS FOR APPLICANTS WHO HOLD NBRC CERTIFICATION

INSTRUCTIONS FOR APPLICANTS WHO HOLD NBRC CERTIFICATION Email: st-medicine@pa.gov st-osteopahtic@pa.gov Medicine 717-783-1400/717-787-2381 Osteopathic 717-783-4858 APPLICATION FOR LICENSURE AS A RESPIRATORY THERAPIST This application can be used for licensure

More information

GENERAL APPLICATION FOR CERTIFICATE PART I: PERSONAL INFORMATION (Print all information in blue ink and in uppercase letters.)

GENERAL APPLICATION FOR CERTIFICATE PART I: PERSONAL INFORMATION (Print all information in blue ink and in uppercase letters.) REV. 12/12 C.G.S. 10-145 C.G.S. 10-145d, P.A. 03-168 CONNECTICUT STATE DEPARTMENT OF EDUCATION Bureau of Educator Standards and Certification P.O. Box 150471 Room 243 Hartford, CT 06115-0471 www.ct.gov/sde

More information

engineers (in a state, territory or possession of the United States or the District of Columbia) that have known the

engineers (in a state, territory or possession of the United States or the District of Columbia) that have known the Commonwealth of Virginia Department of Professional and Occupational Regulation 9960 Mayland Drive, Suite 400 Richmond, VA 23233 (804) 367-8506 www.dpor.virginia.gov BOARD FOR ARCHITECTS, PROFESSIONAL

More information

ners of completing your application. Checks - Psychologists - Providers Sheet

ners of completing your application. Checks - Psychologists - Providers Sheet Texas State Board of Examin ners of Psychologists Application Materials for Licensed Specialist in School Psychologyy Please check to make sure you have all of the following documents before application.

More information

Pharmacy Technician (this application applies only if you are an employee of a Maine pharmacy)

Pharmacy Technician (this application applies only if you are an employee of a Maine pharmacy) MAINE BOARD OF PHARMACY Application information to assist in completing your application. This information is not designed to include all information on laws and rules and it is strongly recommended that

More information

TENNESSEE BOARD OF OCCUPATIONAL THERAPY (615) 532-5096 or 1-800-778-4123 EXT 2-5096 www.tennessee.gov

TENNESSEE BOARD OF OCCUPATIONAL THERAPY (615) 532-5096 or 1-800-778-4123 EXT 2-5096 www.tennessee.gov STATE OF TENNESSEE DEPARTMENT OF HEALTH HEALTH RELATED BOARDS 227 French Landing, Suite 300 Heritage Place Metro Center NASHVILLE, TENNESSEE 37243 TENNESSEE BOARD OF OCCUPATIONAL THERAPY (615) 532-5096

More information

STATE OF MAINE BOARD OF SOCIAL WORKER LICENSURE APPLICATION FOR LICENSED MASTER SOCIAL WORKER (LM)

STATE OF MAINE BOARD OF SOCIAL WORKER LICENSURE APPLICATION FOR LICENSED MASTER SOCIAL WORKER (LM) STATE OF MAINE BOARD OF SOCIAL WORKER LICENSURE APPLICATION FOR LICENSED MASTER SOCIAL WORKER (LM) Department of Professional and Financial Regulation Office of Licensing and Registration 35 State House

More information

Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE

Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE 10.57.02.00 Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 57 BOARD FOR CERTIFICATION OF RESIDENTIAL CHILD CARE PROGRAM PROFESSIONALS Chapter 02 Certification Residential Child Care Program

More information

GENERAL APPLICATION FOR CERTIFICATE PART I: PERSONAL INFORMATION (Print all information in dark ink and in uppercase letters.)

GENERAL APPLICATION FOR CERTIFICATE PART I: PERSONAL INFORMATION (Print all information in dark ink and in uppercase letters.) REV. 4/03 C.G.S. 10-145 C.G.S. 10-145d, P.A. 03-168 CONNECTICUT STATE DEPARTMENT OF EDUCATION Bureau of Educator Preparation and Certification P.O. Box 150471 Room 243 Hartford, CT 06115-0471 www.state.ct.us/sde

More information

Vermont Board of Nursing INSTRUCTION TO APPLICANTS FOR LICENSURE AS A LICENSED NURSING ASSISTANT

Vermont Board of Nursing INSTRUCTION TO APPLICANTS FOR LICENSURE AS A LICENSED NURSING ASSISTANT Vermont Secretary of State 89 Main St., 3 rd Floor Montpelier VT 05620-3402 Nursing (802) 828-3089 www.vtprofessionals.org Vermont Board of Nursing INSTRUCTION TO APPLICANTS FOR LICENSURE AS A LICENSED

More information

Mississippi State Board of Nursing Home Administrators 1755 Lelia Drive, Ste. 305, Jackson, MS 39216 (601) 362-6914 www.msnha.ms.

Mississippi State Board of Nursing Home Administrators 1755 Lelia Drive, Ste. 305, Jackson, MS 39216 (601) 362-6914 www.msnha.ms. 1755 Lelia Drive, Ste. 305, Jackson, MS 39216 (601) 362-6914 www.msnha.ms.gov Application Information Sheet Administrator-in-Training Program (AIT) It is reasonable for you to expect a time frame of nine

More information

APPLICATION FOR PHARMACIST EXAMINATION

APPLICATION FOR PHARMACIST EXAMINATION Applicant s Name: 9901/001 Application $ 50.00 9901/001 Licensure fee $ 165.00 9901/006 Regulatory fee $ 10.00 9901/001 Application $300.00 9901/001 Score Transfer $165.00 9901/006 Regulatory fee $10.00

More information

Application for Certified Public Accountant License Form 11A-5 (Revised 2/16)

Application for Certified Public Accountant License Form 11A-5 (Revised 2/16) Application for Certified Public Accountant License Form 11A-5 (Revised 2/16) Purpose: To provide information required to process your application. Applicability: Type A, B, C, D and E applicants (see

More information

APPLICATION FOR CERTIFIED NURSE AIDE BY EXAMINATION

APPLICATION FOR CERTIFIED NURSE AIDE BY EXAMINATION THE STATE of ALASKA Department of Commerce, Community, and Economic Development Division of Corporations, Business and Professional Licensing Nurse Aide Registry 550 West 7 th Avenue, Suite 1500 Anchorage,

More information

NOTE: All mailings will be sent to the address you indicate below; if you change your address, you must advise this office.

NOTE: All mailings will be sent to the address you indicate below; if you change your address, you must advise this office. ATTACHMENT G 7/2013 STATE OF NEBRASKA Department of Health and Human Services Division of Public Health - Licensure Unit P.O. Box 94986 - Lincoln, Nebraska 68509-4986 Telephone #: 402-471-4918 Rita.watson@nebraska.gov

More information

APPLICATION FOR SCHOOL PSYCHOLOGIST LICENSURE *INSTRUCTIONS*

APPLICATION FOR SCHOOL PSYCHOLOGIST LICENSURE *INSTRUCTIONS* APPLICATION FOR SCHOOL PSYCHOLOGIST LICENSURE *INSTRUCTIONS* SECTION I - GENERAL REQUIREMENTS AND INFORMATION This application should not be submitted until you are ready for licensure. That means that

More information

Board of Speech-Language Pathology and Audiology

Board of Speech-Language Pathology and Audiology Board of Speech-Language Pathology and Audiology Application for Speech-Language Pathology or Audiology Provisional Licensure With Instructions Attached Board of Speech-Language Pathology and Audiology

More information

SPEECH-LANGUAGE PATHOLOGIST ASSISTANT REGISTRATION APPLICATION PACKET

SPEECH-LANGUAGE PATHOLOGIST ASSISTANT REGISTRATION APPLICATION PACKET State of Alaska Department of Commerce, Community and Economic Development Audiology/Hearing Aid Dealer/Speech-Language Pathology Section State Office Building, 333 Willoughby Avenue, 9 th Floor PO Box

More information

Professional Credential Services, Inc.

Professional Credential Services, Inc. Professional Credential Services, Inc. P.O. Box 198689 - Nashville, TN 37219-8689 www.pcshq.com Examination & Licensure Application for Physical Therapists For the Massachusetts Board of Allied Health

More information

IOWA PLUMBING & MECHANICAL SYSTEMS BOARD INSTRUCTIONS FOR APPLICATION FOR CONTRACTOR LICENSES

IOWA PLUMBING & MECHANICAL SYSTEMS BOARD INSTRUCTIONS FOR APPLICATION FOR CONTRACTOR LICENSES IOWA PLUMBING & MECHANICAL SYSTEMS BOARD INSTRUCTIONS FOR APPLICATION FOR CONTRACTOR LICENSES Submit completed applications with a check or money order to: Iowa Plumbing and Mechanical Systems Board Iowa

More information

OKLAHOMA ACCOUNTANCY BOARD ( OAB ) QUALIFICATION APPLICATION AND INSTRUCTIONS

OKLAHOMA ACCOUNTANCY BOARD ( OAB ) QUALIFICATION APPLICATION AND INSTRUCTIONS OKLAHOMA ACCOUNTANCY BOARD ( OAB ) QUALIFICATION APPLICATION AND INSTRUCTIONS Prior to completing and submitting the Qualification Application to the OAB, we suggest that you download the Eligibility Checklist

More information

GOVERNMENT OF THE DISTRICT OF COLUMBIA Department of Health Health Regulation and Licensing Administration

GOVERNMENT OF THE DISTRICT OF COLUMBIA Department of Health Health Regulation and Licensing Administration GOVERNMENT OF THE DISTRICT OF COLUMBIA Department of Health Health Regulation and Licensing Administration Board of Audiology and Speech-Language Pathology APPLICATION INSTRUCTIONS AND FORMS FOR A LICENSE

More information

ADVANCED PRACTICE REGISTERED NURSE (APRN) AUTHORIZATION APPLICATION AND INSTRUCTIONS

ADVANCED PRACTICE REGISTERED NURSE (APRN) AUTHORIZATION APPLICATION AND INSTRUCTIONS ADVANCED PRACTICE REGISTERED NURSE (APRN) AUTHORIZATION APPLICATION AND INSTRUCTIONS APRN Authorization Requirements [Massachusetts General Laws Chapter 112, section 80B & 244 CMR 4.13 & 9.04 (1), (2)

More information

APPLICATION FOR A VIRGINIA LICENSE

APPLICATION FOR A VIRGINIA LICENSE Virginia Department of Education P. O. Box 2120 Richmond, Virginia 23218-2120 APPLICATION FOR A VIRGINIA LICENSE (Application for a teaching license, collegiate professional license, postgraduate professional

More information

APPLICATION FOR ADDICTION COUNSELOR TRAINEE RECOGNITION OR ADDICTION COUNSELOR TRAINEE RENEWAL

APPLICATION FOR ADDICTION COUNSELOR TRAINEE RECOGNITION OR ADDICTION COUNSELOR TRAINEE RENEWAL Board of Addiction and Prevention Professionals (BAPP) 3101 West 41 st Street, Suite 205, Sioux Falls, SD 57105 Phone: 605-332-2645 Fax: 605-332-6778 Email: bapp@midconetwork.com Web: www.dss.sd.gov/bapp

More information

STATE OF MAINE BOARD OF SOCIAL WORKER LICENSURE APPLICATION FOR LICENSED SOCIAL WORKER (LS)

STATE OF MAINE BOARD OF SOCIAL WORKER LICENSURE APPLICATION FOR LICENSED SOCIAL WORKER (LS) STATE OF MAINE BOARD OF SOCIAL WORKER LICENSURE APPLICATION FOR LICENSED SOCIAL WORKER (LS) Department of Professional and Financial Regulation Office of Licensing and Registration 35 State House Station

More information

Two-Year Associate s Degree

Two-Year Associate s Degree Two-Year Associate s Degree Commuter Application for Admission 2015 16 PETROCELLI COLLEGE OF CONTINUING STUDIES METROPOLITAN CAMPUS TEANECK, NJ Important Deadlines FEBRUARY 15 Priority deadline for submitting

More information

NORTH CAROLINA REAL ESTATE COMMISSION P. O. Box 17100 Raleigh, North Carolina 27619-7100 919/875-3700 www.ncrec.gov

NORTH CAROLINA REAL ESTATE COMMISSION P. O. Box 17100 Raleigh, North Carolina 27619-7100 919/875-3700 www.ncrec.gov APPLICATION FEES: $30 - ORIGINAL APPLICATION $55 - LICENSE REINSTATEMENT If application is to reinstate an expired or revoked firm license, check the box below and provide the old license number. Reinstatement

More information

PHARMACIST EDUCATIONAL LIMITED LICENSE APPLICATION PACKET

PHARMACIST EDUCATIONAL LIMITED LICENSE APPLICATION PACKET Michigan Department of Licensing and Regulatory Affairs Bureau of Professional Licensing Board of Pharmacy PO Box 30670 Lansing MI 48909 (517) 335-0918 www.michigan.gov/healthlicense Page 1 of 17 PHARMACIST

More information

APPLICATION FOR LICENSE BY EXAMINATION NURSING HOME ADMINISTRATOR

APPLICATION FOR LICENSE BY EXAMINATION NURSING HOME ADMINISTRATOR APPLICATION FOR LICENSE BY EXAMINATION NURSING HOME ADMINISTRATOR WEST VIRGINIA NURSING HOME ADMINISTRATORS LICENSING BOARD P. O. BOX 522 WINFIELD, WV 25213 Surname Given Name Middle/Maiden Name INSTRUCTIONS

More information

BOARD FOR ARCHITECTS, PROFESSIONAL ENGINEERS, LAND SURVEYORS, CERTIFIED INTERIOR DESIGNERS AND LANDSCAPE ARCHITECTS Land Surveyor Information Sheet

BOARD FOR ARCHITECTS, PROFESSIONAL ENGINEERS, LAND SURVEYORS, CERTIFIED INTERIOR DESIGNERS AND LANDSCAPE ARCHITECTS Land Surveyor Information Sheet Commonwealth of Virginia Department of Professional and Occupational Regulation 9960 Mayland Drive, Suite 400 Richmond, VA 23233 (804) 367-8506 www.dpor.virginia.gov BOARD FOR ARCHITECTS, PROFESSIONAL

More information

STEP 5 - EDUCATION You must request Official Transcripts verifying your education, to be sent directly from your college or university.

STEP 5 - EDUCATION You must request Official Transcripts verifying your education, to be sent directly from your college or university. INFORMATION & INTRUCTIONS FOR CPA CERTIFICATION This application is for CPA Licensure by Original Certification based on an applicant s passing the CPA Examination in another state. The applicant will

More information

General Information: Fees: Applicant Information:

General Information: Fees: Applicant Information: The Commonwealth of Massachusetts Division of Professional Licensure Board of Registration of Social Workers c/o ASWB P.O. Box 1508 Culpeper, VA 22701 (866) 527-2384 Instructions for Social Worker Re-Licensure

More information

State of Utah Department of Commerce Division of Occupational and Professional Licensing

State of Utah Department of Commerce Division of Occupational and Professional Licensing State of Utah Department of Commerce Division of Occupational and Professional Licensing Official Use Only Number: Date Approved/Denied: Approved/Denied By: Psychologist APPLICANT INFORMATION Full Legal

More information

APPLICANT INSTRUCTIONS FOR ENGINEERS AND LAND SURVEYORS REGISTRATION BY EXAMINATION OR COMITY

APPLICANT INSTRUCTIONS FOR ENGINEERS AND LAND SURVEYORS REGISTRATION BY EXAMINATION OR COMITY THE STATE of ALASKA Board of Registration for Architects, Engineers, and Land Surveyors State Office Building, 333 Willoughby Avenue, 9 th Floor PO Box 110806, Juneau, AK 99811-0806 Phone: (907) 465-2540

More information

VOCATIONAL REHABILITATION COUNSELOR

VOCATIONAL REHABILITATION COUNSELOR STATE OF UTAH DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING APPLICATION FOR LICENSURE VOCATIONAL REHABILITATION COUNSELOR APPLICATION INSTRUCTIONS AND INFORMATION General Statement: The Utah Division

More information

RULES AND REGULATIONS FOR LICENSING DOCTORS OF ACUPUNCTURE AND ACUPUNCTURE ASSISTANTS (R5-37.2-ACU)

RULES AND REGULATIONS FOR LICENSING DOCTORS OF ACUPUNCTURE AND ACUPUNCTURE ASSISTANTS (R5-37.2-ACU) RULES AND REGULATIONS FOR LICENSING DOCTORS OF ACUPUNCTURE AND ACUPUNCTURE ASSISTANTS (R5-37.2-ACU) STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS Department of Health July 1980 As Amended: March 1988

More information

Board Information. Licensure Information

Board Information. Licensure Information Board Information What are the functions of the Board of Professional Surveyors and Mappers? The Board of Professional Surveyors and Mappers regulates professional surveyors and mappers and businesses

More information

General Instructions for Certified Registered Nurse Practitioner (CRNP) Certification Applicants

General Instructions for Certified Registered Nurse Practitioner (CRNP) Certification Applicants PENNSYLVANIA STATE BOARD OF NURSING PHONE: (717) 783-7142 P.O. BOX 2649 FAX: (717) 783-0822 HARRISBURG, PA 17105-2649 www.dos.state.pa.us/nurse Email: st-nurse@pa.gov RETAIN FOR REFERENCE General Instructions

More information

Licensure by Examination Information For Graduates from Nursing programs within the United States

Licensure by Examination Information For Graduates from Nursing programs within the United States 17938 SW Upper Boones Ferry Road Portland, Oregon 97224-7012 Licensure by Examination Information For Graduates from Nursing programs within the United States Non-United States Graduate: If you studied

More information

Wisconsin Department of Safety and Professional Services

Wisconsin Department of Safety and Professional Services Mail To: P.O. Box 8935 1400 E. Washington Avenue Madison, WI 53708-8935 Madison, WI 53703 FAX #: (608) 261-7083 E-Mail: dsps@wi.gov Phone #: (608) 266-2112 Website: http://dsps.wi.gov MARRIAGE AND FAMILY

More information

Appraisal Management Company (AMC)

Appraisal Management Company (AMC) REAL ESTATE APPRAISER LICENSING AND CERTIFICATION BOARD Appraisal Management Company (AMC) Application Packet July 30, 2013 APPLICATION FOR REGISTRATION OF AN APPRAISAL MANAGEMENT COMPANY INSTRUCTIONS

More information

Application for Approval to Sit for the Pennsylvania State Specific Land Surveying (PLS) Examination

Application for Approval to Sit for the Pennsylvania State Specific Land Surveying (PLS) Examination Rev04/15 Application for Approval to Sit for the Pennsylvania State Specific Land Surveying (PLS) Examination PA STATE REGISTRATION BOARD FOR PROFESSIONAL ENGINEERS, LAND SURVEYORS AND GEOLOGISTS Courier

More information

Application for Initial Certification Emergency Medical Technician

Application for Initial Certification Emergency Medical Technician Application for Initial Certification Emergency Medical Technician Department Of Health & Social Services Division of Public Health Section of Emergency Programs P.O. Box 110616, Juneau, AK 99811-0616

More information

DIVISION OF CORPORATIONS, BUSINESS AND PROFESSIONAL LICENSING

DIVISION OF CORPORATIONS, BUSINESS AND PROFESSIONAL LICENSING Statutes and Regulations Public Accountancy October 2014 (Centralized Statutes and Regulations not included) DEPARTMENT OF COMMERCE, COMMUNITY, AND ECONOMIC DEVELOPMENT DIVISION OF CORPORATIONS, BUSINESS

More information

STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS. BOARD OF ACCOUNTANCY 1511 Pontiac Avenue, #68-1 Cranston, Rhode Island 02920

STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS. BOARD OF ACCOUNTANCY 1511 Pontiac Avenue, #68-1 Cranston, Rhode Island 02920 BOARD OF ACCOUNTANCY Cranston, Rhode Island 02920 APPLICATON FOR CPA CERTIFICATE WITHOUT WRITTEN EXAMINATION To the Rhode Island Board of Accountancy: I hereby make application to be examined by the Rhode

More information

Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE

Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 42 BOARD OF SOCIAL WORK EXAMINERS Chapter 01 Regulations Governing Licensure Authority: Health Occupations Article, 19-101 19-502, Annotated Code

More information

Transient Sellers Program: Employee Application Required Fee: $31. (includes criminal records check fee)

Transient Sellers Program: Employee Application Required Fee: $31. (includes criminal records check fee) STATE OF MAINE DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION OFFICE OF PROFESSIONAL & OCCUPATIONAL REGULATION INDIVIDUAL LICENSE APPLICATION APPLICANT INFORMATION (please print) FULL LEGAL NAME FIRST

More information

STATE OF MAINE BOARD OF SOCIAL WORKER LICENSURE APPLICATION FOR LICENSURE MASTER SOCIAL WORKER CONDITIONAL CLINICAL (MC)

STATE OF MAINE BOARD OF SOCIAL WORKER LICENSURE APPLICATION FOR LICENSURE MASTER SOCIAL WORKER CONDITIONAL CLINICAL (MC) STATE OF MAINE BOARD OF SOCIAL WORKER LICENSURE APPLICATION FOR LICENSURE MASTER SOCIAL WORKER CONDITIONAL CLINICAL (MC) Department of Professional and Financial Regulation Office of Licensing and Registration

More information

APPLICATION FOR NURSING HOME ADMINISTRATOR EXAMINATIONS ***IMPORTANT INFORMATION***

APPLICATION FOR NURSING HOME ADMINISTRATOR EXAMINATIONS ***IMPORTANT INFORMATION*** STATE BOARD OF EXAMINERS OF NURSING HOME ADMINISTRATORS P.O. Box 2649 Harrisburg, PA 17105-2649 Telephone: (717) 783-7155 Courier Address: Fax: (717) 787-7769 2601 North Third Street Website: www.dos.pa.gov/nursinghome

More information

APPLICATION FOR A VIRGINIA LICENSE

APPLICATION FOR A VIRGINIA LICENSE Virginia Department of Education P. O. Box 2120 Richmond, VA 23218-2120 APPLICATION FOR A VIRGINIA LICENSE (Application for a teaching license, collegiate professional license, postgraduate professional

More information

APPLICATION FOR PRIVATE ACADEMIC SCHOOL TEACHING CERTIFICATE FORM PDE 4536 (Refer to instructions included with this two page form)

APPLICATION FOR PRIVATE ACADEMIC SCHOOL TEACHING CERTIFICATE FORM PDE 4536 (Refer to instructions included with this two page form) APPLICATION FOR PRIVATE ACADEMIC SCHOOL TEACHING CERTIFICATE FORM PDE 4536 (Refer to instructions included with this two page form) PDE USE ONLY CONTROL NO. APPLICANTS: Please note the following information

More information

CERTIFIED PUBLIC ACCOUNTANT

CERTIFIED PUBLIC ACCOUNTANT STATE OF UTAH DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING APPLICATION FOR LICENSURE CERTIFIED PUBLIC ACCOUNTANT APPLICATION INSTRUCTIONS AND INFORMATION General Statement: The Utah Division of

More information

Instructions For Clinical Nurse Specialist (CNS) Applicants

Instructions For Clinical Nurse Specialist (CNS) Applicants RETAIN FOR REFERENCE Instructions For Clinical Nurse Specialist (CNS) Applicants GENERAL INFORMATION: An applicant for Clinical Nurse Specialist certification must hold a current, unrestricted license

More information